| NPI | 1275705196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA CLARKE Family Nurse Pratitioner 757-332-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 1023097615) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |